| NPI | 1801133202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEY PAGE Director 417-861-9739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME81042) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2025-06-25 |